Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Sports Medicine PC

Organization Family Medicine Physician · NPI 1972658136

Primary Care Sports Medicine PC is a Family Medicine Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 W Mitchell St Ste 340
Petoskey, MI 49770-2275
Phone: (231) 348-9710
Fax: (231) 348-9715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301074786 (MI)

Record details

NPI number1972658136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Sheperd — President · (231) 348-9710
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2008
Mailing address560 W Mitchell St, Suite 340, Petoskey, MI 49770-2275

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